NPIMap

Organization Active NPI

Edwards Everhart Dental

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1588087597
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57768 Issued in CA
Legal business name
EDWARDS EVERHART DENTAL
Practice address
1192 Suncast Lane
Suite 3
El Dorado Hills, CA 95762
Phone
(916) 939-9912
Fax
(916) 939-9231
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Everhart, DDSNPI 1952556300
Title
Co-Owner
Phone
(916) 939-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57768 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 50068 CA

Addresses

Primary practice location

1192 Suncast Lane
Suite 3
El Dorado Hills, CA 95762

Mailing address

1192 Suncast Lane
Suite 3
El Dorado Hills, CA 95762
Phone (916) 939-9912

National Provider Directory

National Provider Directory

Locations

1192 Suncast Ln
Ste 3
El Dorado Hills, CA 95762
Phone (916) 939-9912

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1588087597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 SUNCAST LANE",
            "address_2": "SUITE 3",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-939-9912",
            "fax_number": "916-939-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 SUNCAST LANE",
            "address_2": "SUITE 3",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-939-9912",
            "fax_number": "916-939-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS EVERHART DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "EVERHART",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "916-939-9912",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57768",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.